| NPI | 1639391972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAIRE DIANE KOCH Managing Member 516-845-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |